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  • Subject Name : Nursing

Question 1: Risk Assessments

The first risk assessment that should be done on Mr. Yun is to assess the cardiovascular health of the patient. The patient is showing signs of stroke and thus, the cardiovascular assessment will help in the identification of stroke risk and also help in the application of suitable interventions (Rao & Suarez, 2018). The second risk assessment that should be done on Yun is the Glasgow Coma Scale assessment. The rationale for conducting this assessment is to identify the motor, verbal, and cognitive responsiveness of the patient. The patient has slurred speech and impaired judgement. Conduction of this assessment will assist in the identification of damage and suggest the application of suitable intervention (Ojaghihaghighi et al., 2017).

Question 2: Issue with Activities

One issue that Mr. Yun will have problems with movement as he is suffering from left side hemiplegia. This will limit the movement of the patient. This has occurred due to stroke affecting motor neurons in the patient that results in weakness and inability to move in the individual (Rao & Suarez, 2018). To meet the movement-related needs for the patient it is suggested that a walking balance is provided for extra support. To assist Mr. Yun for his daily activities, the care nurse should ensure availability of all the primary needs of the patient in proximity to limit the need of excessive movement and prevent risks of fails or any other secondary complications that may arise with the difficulties imposed by his health condition (Ojaghihaghighi et al., 2017).

Question 3: Health Assessment Principles

The two health assessment principles that should be followed for Mr. Yun’s assessment include: First, accurate and timely assessment. The left side hemiplegia of the patient has been ignored and therefore, it is required that timely and accurate assessment in ensured to limit further health damages and prevent complications (Jarvis, 2018). The second crucial principle that must be followed while conducting health assessment is to ensure through data collection. This will include recording of patient vitals, development of comprehensive handovers, and rigorous documentation of the interventions applied for the evaluation of the health of the patient (Jensen, 2018).

Question 4: Wellness Approach to Health for Physical Needs

A wellness approach to health is an active process that directs the patients towards a lifestyle with healthy choices and making positive changes for the overall wellbeing (Peterson-Burch et al., 2017). In the current scenario, the physical demands of the patient, Mr. Yen will require management of movement and strength building in his weakened limbs. Therefore, the wellness approach for the physical needs of Mr. Yen should focus on inclusion of exercises like shoulder range motion. Laying knee flexion, supine heal slides to build strength and promote movement (Peterson-Burch et al., 2017).

Question 5: Wellness Approach to Health for Physiological Needs

The impacts of stroke are multimodal in a patient and thus physical, physiological, and emotional needs of the patient smuts are addressed to (Le Danseur, 2020). Patients like Mr. Yen who survive the stroke suffer impacts on the brain and body. The physiological needs of the patients who suffer from stroke include healthy lifestyle with a balanced diet limit cardiovascular tension and to prevent recurrence (Ojo & Brooke, 2016). The patient should be advised to eat a diet with healthy fats and limit drug and alcohol intake. Smoking cessation should be advised in case of a history of smoking. The patient should also be advised to ensure medication adherence to meet the physiological needs for recovery from the stroke and manage overall wellbeing. Mild and transitory mood symptoms that are observed in the patient after the stroke must be mitigated through therapeutic approaches (Belagaje, 2017).

Question 6: Wellness Approach to Health for Psychosocial Needs

Mr Yen should be provided comprehensive psychosocial care to help in the management of his mood swings, cognition, and overall psychological wellbeing. Communication supported interventions are found to be extreme importance to assist psychosocial wellbeing of the stroke survivors (Belagaje, 2017). Multidisciplinary team of clinical psychologists is required to assist with cognitive disabilities that may persist in patients after stroke for recovery. The mood swings and the care needs of the patient should be ensured by a person-centered approach that can help in assisting the patient in the identification of the psychosocial problems and also in the development of mitigation strategies (Le Danseur, 2020).

Question 7: Referrals for Care and Support Services

The two referrals that can be applied for the care of Mr. Yun by his wife are: first, make the availability of resources and daily needs in proximity with the patient to limit the need of excessive movement (Le Danseur, 2020). The second care need that can be applied at-home care for Yun is to ensure that the patient is provided emotional support and care in the course of recovery. This will help in mitigating stress and help in the psychosocial recovery of the patient (Ojaghihaghighi et al., 2017).

If an additional support service is required, a community health centre in proximity to their home can be reached out for assistance. Further, stroke support centres like Bankstown recovery club, Easts stroke recovery club, etc. can be reached out for immediate assistance (Stroke Foundation, Australia, 2020)

References for Mr. Yun Cardiovascular Health Case Study

Belagaje, S. R. (2017). Stroke rehabilitation. Lifelong Learning in Neurology, 23(1), 238-253. https://journals.lww.com/continuum/fulltext/2017/02000/Stroke_Rehabilitation.17.aspx

Jarvis, C. (2018). Physical Examination and Health Assessment-Canadian E-Book. USA: Elsevier Health Sciences. https://books.google.com/books?hl=en&lr=&id=lIV0DwAAQBAJ&oi=fnd&pg=PP1&dq=Health+assessment+principles+&ots=3CyrFM3CjR&sig=t-1ulglzzFOJ-gbzUIhGTfpaXZw

Jensen, S. (2018). Nursing health assessment: A best practice approach. USA: Lippincott Williams & Wilkins. https://books.google.com/books?hl=en&lr=&id=lIV0DwAAQBAJ&oi=fnd&pg=PP1&dq=Health+assessment+principles+&ots=3CyrFM3CjR&sig=t-1ulglzzFOJ-gbzUIhGTfpaXZw

Le Danseur, M. (2020). Stroke rehabilitation. Critical Care Nursing Clinics, 32(1), 97-108. https://www.ccnursing.theclinics.com/article/S0899-5885(19)30080-2/abstract

Ojaghihaghighi, S., Vahdati, S. S., Mikaeilpour, A., & Ramouz, A. (2017). Comparison of neurological clinical manifestation in patients with hemorrhagic and ischemic stroke. World Journal of Emergency Medicine, 8(1), 34. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5263033/

Ojo, O., & Brooke, J. (2016). The use of enteral nutrition in the management of stroke. Nutrients, 8(12), 827. https://www.mdpi.com/2072-6643/8/12/827/htm

Peterson-Burch, F., Reuter-Rice, K., & Barr, T. L. (2017). Rethinking recovery: Incorporating holistic nursing perspectives in post-stroke care. Holistic Nursing Practice, 31(1), 3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5142760/

Rao, C. P. V., & Suarez, J. I. (2018). Management of stroke in the neurocritical care unit. Continuum: Lifelong Learning in Neurology, 24(6), 1658-1682. https://journals.lww.com/continuum/Fulltext/2018/12000/Management_of_Stroke_in_the_Neurocritical_Care.7.aspx

Stroke foundation Australia (2020). Support near you. Retrieved from: https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&cad=rja&uact=8&ved=2ahUKEwiEz4_x68zrAhXjyDgGHSTRBQUQFjABegQIChAE&url=https%3A%2F%2Fstrokefoundation.org.au%2FAbout-Stroke%2FLife-after-stroke%2FHelp-after-stroke%2FSupport-near-you&usg=AOvVaw1XpdspsrYOApw9w_wgeO0q

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